Provider Demographics
NPI:1952695595
Name:BRIGGS, LIA MARTA (MD)
Entity type:Individual
Prefix:DR
First Name:LIA
Middle Name:MARTA
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:739 NYS ROUTE 28
Mailing Address - Street 2:SUITE 9
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820
Mailing Address - Country:US
Mailing Address - Phone:607-431-1015
Mailing Address - Fax:
Practice Address - Street 1:739 NYS ROUTE 28
Practice Address - Street 2:SUITE 9
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820
Practice Address - Country:US
Practice Address - Phone:607-431-1015
Practice Address - Fax:607-431-1050
Is Sole Proprietor?:No
Enumeration Date:2011-05-31
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY271511207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program